Faculté de Médecine, UR Biologie Moléculaire des Leucémies et Lymphomes, Laboratoire de Biochimie, Sousse, Tunisia.
Fam Cancer. 2009;8(4):581-4. doi: 10.1007/s10689-009-9289-x.
Familial aggregation in patients with several haematological malignancies has been described, but the genetic basis for this familial clustering is not known. Few genes predisposing to familial haematological malignancies have been identified, among which RUNX1 and CEBPA have been described as predisposing genes to acute myeloid leukemia (AML). Recent studies on RUNX1 suggest that germline mutations in this gene predispose to a larger panel of familial haematological malignancies than AML. In order to strengthen this hypothesis, we have screened CEBPA for germline mutations in several families presenting aggregation of hematological malignancies (including chronic or acute, lymphoid or myeloid leukemias, Hodgkin's or non Hodgkin's lymphomas, and myeloproliferative or myelodysplastic syndromes) with or without solid tumours. Although no deleterious mutations were found, we report two novel and rare variants of uncertain significance. In addition, we confirm that the in frame insertion c.1175_1180dup (p.P194_H195dup) is a germline polymorphism.
已经描述了患有多种血液系统恶性肿瘤的患者中的家族聚集现象,但这种家族聚集的遗传基础尚不清楚。已经确定了少数几种易患家族性血液系统恶性肿瘤的基因,其中 RUNX1 和 CEBPA 被描述为易患急性髓细胞白血病(AML)的基因。最近对 RUNX1 的研究表明,该基因的种系突变易患多种家族性血液系统恶性肿瘤,而不仅仅是 AML。为了加强这一假设,我们在几个表现出血液系统恶性肿瘤(包括慢性或急性、淋巴样或髓样白血病、霍奇金或非霍奇金淋巴瘤以及骨髓增生性或骨髓发育不良综合征)聚集且有或没有实体瘤的家族中筛查了 CEBPA 的种系突变。尽管没有发现有害突变,但我们报告了两个新的罕见的意义不明的变体。此外,我们证实框内插入 c.1175_1180dup(p.P194_H195dup)是一种种系多态性。